About Medicaid

Medicaid has different programs available that provide health coverage for:

Children under age 19

Parents or other related adults with children under age 19

Pregnant women

Women diagnosed with breast or cervical cancer or pre-cancer

People aged 65 or older

People who are blind or disabled (using Social Security criteria)

APPLY FOR MEDICAID

You can apply for Medicaid with just your name, address and signature on an application for assistance, or you may use any of the following options to apply for Medicaid and other Heath Coverage Assistance options:

If your family’s income is determined too high for Medicaid, you still may qualify for other Health coverage assistance programs. To view other programs, visit the Health Coverage Assistance page.

ELIGIBILITY REQUIREMENTS

In order to receive Medicaid, certain eligibility requirements must be met in areas such as, citizenship/immigration status, income, resources, work requirements, and other areas based on your household's circumstances.

MEDICAID AND SCHIP COVERAGE

Medicaid and SCHIP will pay for a number of services, such as prescriptions and dental care. While it is possible to have Medicaid and private health insurance, children who have private health insurance cannot qualify for SCHIP.

BENEFIT PLANS

The Idaho Medicaid State Plan is made up of the Standard State Plan which includes mandatory minimum benefits and three Benchmark Benefit plans that are aligned with the health needs of Idahoans and includes an emphasis on prevention and wellness. Click on the plan titles below to see the benefits included in each.

This booklet has information about each of Medicaid’s benefit plans, the importance of using your Healthy Connections doctor, when to use the emergency room, and keeping your child’s well-child checks and immunizations up-to-date. It also has links to connect you with more specific program information, important phone numbers, and office locations.